Provider Demographics
NPI:1376807396
Name:GRAY, FRUMA (MS)
Entity Type:Individual
Prefix:MISS
First Name:FRUMA
Middle Name:
Last Name:GRAY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MRS
Other - First Name:FRUMA
Other - Middle Name:
Other - Last Name:JANKELOVITS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6 VANESSA DR
Mailing Address - Street 2:
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-2411
Mailing Address - Country:US
Mailing Address - Phone:845-517-2474
Mailing Address - Fax:
Practice Address - Street 1:6 VANESSA DR
Practice Address - Street 2:
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-2411
Practice Address - Country:US
Practice Address - Phone:845-517-2474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-25
Last Update Date:2014-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist